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If you have an emergency dial 9-1-1
Office: (801) 254-4708
Fax: (801) 253-2210

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South Jordan Police Department 1600 W. Towne Center Dr.
South Jordan, Utah 84095

Welcome to the South Jordan Police Department's on-line crime reporting system. If you have an EMERGENCY, or the crime you want to report is happening RIGHT NOW, do NOT use this form; dial 9-1-1 on your telephone (this online system is not monitored continuously). If you are the victim of a crime that occurred within our city limits, you can complete and submit your initial crime report here.

This form should be used for:

1. For non-emergency (cold) type reports only and
2. For crimes with no evidence. (Evidence can include: any item that the suspect brought to commit the crime and left behind. Evidence does not include: the rock that was thrown through a window. Also, it is not possible to lift fingerprints from many surfaces, i.e. dashboards of cars, etc.)

If you have questions of a non-emergency nature, please call (801) 254-4708 . Please complete this form as accurately and completely as possible. This will help us screen your report for potential investigation. Whenever you only have partial information (like part of a license plate number, or a person's description), please give us whatever you have! If you need to report more than one type of crime (or multiple instances), please send us a separate Report Form for each one.

IMPORTANT NOTE:
Reporting of any crime that is false or malicious is punishable by law. All violators will be prosecuted to the fullest extent of the law. All violators will be prosecuted for filing a false police report to authorities.

Type of Crime: (*Do not report stolen vehicles or stolen firearms through this form. Please call 254-4708 to report these types of thefts.)
Theft
Theft of services
Theft of Auto Accessories (DOES NOT include license plates)
Vandalism
Theft from Auto (DOES NOT include license plates)
Bike Theft
Phone Harrassment
Suspicious Circumstances
Damaged Property
Trespassing
Lost Property
Gas Drive-Off

Address where crime occurred*:

Crime occurred between:
Date (MM/DD/YYYY)    Time (HH:MM AM/PM)
                To Date:    Time:

Victim Business
Business Name:
Business Address:
Telephone:

Victim
 Last Name*: First*: Middle:
Home Address*: City*:
State*: Zip*:
Home Phone*: Work Phone: Cell Phone
Email:
DOB* (MM/DD/YYYY): Sex: Male Female

Victim Vehicle Description
(Victim Vehicle #1)
Year: Make: Model: Lic.#: State Color 
(Victim Vehicle #2)
Year: Make: Model: Lic.#: State Color 

Offense Reported By: (if not same as victim)
 Last Name: First: Middle:
Home Address: City:
State: Zip:
Home Phone: Work Phone: Cell Phone
Email:
DOB (MM/DD/YYYY): Sex: Male Female

Witness
 Last Name: First: Middle:
Home Address: City:
State: Zip:
Home Phone: Work Phone: Cell Phone
Email:
DOB (MM/DD/YYYY): Sex: Male Female

Suspect Info
Race: Sex: Male Female  Ht: Wt:  Hair color/length:
Eye color: Approximate Age:
Clothing Description:

Anything Unusual (for example: glasses, beard, tattoos)


Enter the following suspect details if known
Last Name: First: Middle:
Home Address: City:
State: Zip:
Home Phone: Work Phone: Cell Phone

Suspect Vehicle
Year: Make: Model: Lic.#: State Color 
Style: Unusual characteristics (dents, decals, paint, rust, etc.):

Do you think the gas drive off was intentional? Yes  No  Unsure      (If yes please elaborate in the narrative.)

List your lost, stolen or damaged property, and then tell what happened in the narrative section below the list of property.

Item
Condition
Qty Description Article Type
and Brand
Color Model # Serial # Est. Value
Additional Items: (Please list 1 per line)

Narrative
Brief Narrative/Witness Statement*

I affirm that this information is true and correct
Type your name*
(Please enter your name as you would sign your signature. Remember it is a misdemeanor to make a false report of a crime.)

I Certify that I have read and understand the following:
Reporting of any crime that is false or malicious is punishable by law. All violators will be prosecuted to the fullest extent of the law. All violators will be prosecuted for filing a false police report to authorities.

* Item Required


1600 W. Towne Center Dr., South Jordan, Utah 84095 | 801-254-3742
Copyright © 2008 City of South Jordan Utah. All rights reserved.